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AFC-5128 is a CNS-penetrant, orally active small molecule antagonist of the purinergic P2X7 receptor, developed primarily for the treatment of neuroinflammatory and neurodegenerative diseases such as multiple sclerosis and neuropathic pain. Its mechanism of action involves inhibiting the P2X7 receptor on CNS-resident immune cells (such as microglia), reducing ATP-stimulated calcium influx, T-cell proliferation, and neuroinflammation, which suggests potential benefit in both progressive and relapsing forms of multiple sclerosis[1][3][4][5][7][9].
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